SOUTH CENTRAL REGIONAL MEDICAL CENTER


Address: 920 Matthew Dr, Suite 8, Waynesboro, MS 39367-2553
Phone: 6014257583

SOUTH CENTRAL REGIONAL MEDICAL CENTER (NPI# 1114353539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114353539
Entity Type Organization
Organization Name SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other Organization Name SOUTH CENTRAL DERMATOLOGY CLINIC - WAYNESBORO
Practice Address 920 Matthew Dr
Suite 8
Waynesboro
MS 39367-2553
Mailing Address Po Box 1649
Laurel
MS 39441-1649
Practice Telephone 6014257583
Practice Fax Number 6013996281
Mailing Telephone 6014257583
Mailing Fax Number 6013996281
Enumeration Date 2013-09-17
Last Update Date 2013-09-17
Authorized Official Name JAMES T CANIZARO (VP OF FINANCE/CFO)
Authorized Official Telephone 6013996139
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
South Central Dermatology Clinic - Waynesboro Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1730121088 South Central Regional Medical Center Nursing Facility/Intermediate Care Facility 1100 West Dr, Laurel, MS 39440-4730 2006-06-12
1437199213 South Central Regional Medical Center Skilled Nursing Facility 683 County Home Rd, Ellisville, MS 39437-8455 2006-06-08
1609813757 South Central Regional Medical Center Obstetrics & Gynecology 203 S 12th Ave, Laurel, MS 39440-4324 2006-05-31
1629058094 South Central Regional Medical Center Ambulance 23 Mason St, Laurel, MS 39440-4437 2006-01-20
1093790404 South Central Regional Medical Center Home Health 2260 Us Highway 15 North, Laurel, MS 39440-1521 2005-12-08
1114923059 South Central Regional Medical Center Skilled Nursing Facility 305 E Ivy St, Ellisville, MS 39437-2746 2005-06-24
1619973542 South Central Regional Medical Center General Acute Care Hospital 1220 Jefferson St, Laurel, MS 39440-4355 2005-06-24
1134762610 South Central Regional Medical Center Internal Medicine 1203 Jefferson St, Laurel, MS 39440-4354 2019-10-28
1023358132 South Central Regional Medical Center Radiology 1410 Jefferson St, Laurel, MS 39440-4243 2013-02-26

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SOUTH CENTRAL REGIONAL MEDICAL CENTER, INC 1220 Jefferson St, Laurel, MS 39440-4355

Office Location

Street Address 920 MATTHEW DR
SUITE 8
City WAYNESBORO
State MS
Zip Code 39367-2553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669463584 Walley Clinic Pa Family Medicine 920 Matthew Dr, Ste A, Waynesboro, MS 39367-2567 2005-10-31
1598787160 Wayne General Hospital Home Health 920 Matthew Dr, Suite 2, Waynesboro, MS 39367-2553 2006-07-24
1215958780 Wayne General Hospital Hospice Care, Community Based 920 Matthew Dr, Suite2, Waynesboro, MS 39367-2553 2006-07-21
1295765022 Thomas Casey Woodring Obstetrics & Gynecology 920 Matthew Dr, Suite A, Waynesboro, MS 39367-2553 2006-07-04
1316988025 Wayne General Hospital Clinic/Center 920 Matthew Dr, Ste D, Waynesboro, MS 39367 2006-06-10
1356310536 Jatinder Singh Internal Medicine 920 Matthew Dr, Waynesboro, MS 39367-2553 2006-03-17
1114995537 Wulf Hirschfield Internal Medicine 920 Matthew Dr, Suite D, Waynesboro, MS 39367-2553 2006-03-10
1093798266 Cynthia C. Odom Nurse Practitioner 920 Matthew Dr, Waynesboro, MS 39367-2553 2005-11-22
1043201858 William Edwin Powell Family Medicine 920 Matthew Dr, Ste A, Waynesboro, MS 39367-2567 2005-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275056541 Helping Hand Home Care LLC Respite Care 822a Station St., Waynesboro, MS 39367 2017-07-19
1578914339 Megan Cook Specialist/Technologist 44 D Hutto Drive, Waynesboro, MS 39367 2016-06-23
1932413762 Bendan Boyd Nurse Practitioner 501 Azalea Dr. Suite F, Waynesboro, MS 39367 2010-08-04
1912181868 Terry G Agent Physical Therapist 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 2007-12-27
1265631949 Joseph Daniel Stringer Jr. Dentist 803 Mississippi Drive, Waynesboro, MS 39367 2007-07-13
1245313014 Wal-mart Stores East, Lp Technician/Technologist 1350 Azalea Drive, Waynesboro, MS 39367 2006-10-23
1851488514 Charles Todd Stokley Family Medicine 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 2006-10-06
1396832150 William Daniel Young Specialist 940 Matthew Dr Ste 7, Waynesboro, MS 39367 2006-10-05
1518076546 Family Dental Center of Waynesboro, P.a. Dentist 500 Court Street, Waynesboro, MS 39367 2006-08-30
1780624510 Bobbie Jean Cooksey Nurse Practitioner 920 Matthew Drive, Suite D, Waynesboro, MS 39367 2006-06-08
Find all providers in zip 39367

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134558331 South Central Clinics, Inc Dermatology 920 Matthew Dr Ste 8, Waynesboro, MS 39367-2553 2013-11-07
1396748109 Keith Allen Knoell Dermatology 2611 W Main St Ste 1, Waynesboro, VA 22980-1600 2005-05-24
1356344162 Cynthia Hall Dent Dermatology 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 2005-05-24
1902258064 Valley Dermatology, LLC Dermatology 2611 W Main St, Suite 1, Waynesboro, VA 22980-1600 2016-07-12
1295197309 Olivia Leigh-quach Schenck Dermatology 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 2016-03-28
1114066024 Sarah Ann Zeller Dermatology 1151 13th St, Waynesboro, VA 22980-4432 2007-02-06
1073614426 Lynne Mcelroy Wold Dermatology 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760043046 Skin In The Game, Pllc Dermatology 6510 Highway 90, Gautier, MS 39553-5015 2019-06-26
1427535079 Jenna Joe Rose Cooper Dermatology 2204 Jefferson Davis Dr, Oxford, MS 38655-5222 2018-07-26
1427460849 Anna Allred Wile Dermatology 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 2014-05-21
1407296825 Ashley Nicole Emerson Dermatology 6510 Highway 90 Ste C, Gautier, MS 39553-5015 2013-06-29
1265729719 Jasmine C. Hollinger Dermatology 2080 S Frontage Rd Ste 113, Vicksburg, MS 39180-5882 2011-07-06
1295022861 Kenneth Daniel Saul Dermatology 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 2011-07-05
1689969735 Adam C Byrd Dermatology 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 2011-06-16
1063724987 Lyndsay R Shipp Dermatology 705 Sisk Ave Ste 105, Oxford, MS 38655-3413 2010-07-08
1144545195 Lisa Renee Chastant Dermatology 81 Mdos/sgomd, 301 Fisher St., Keesler Afb, MS 39534-2519 2010-04-01
1982836037 Bethany R Hairston Md Dermatology 724 Leigh Drive, Columbus, MS 39705-3098 2009-08-21
Find all providers with the same taxonomy

Competitor

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City WAYNESBORO
Zip Code 39367

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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